| NPI | 1902453145 |
|---|---|
| Doing Business As | PATTENGILL ICHD |
| Entity Type | Organization |
| Authorized Contact | KRIS DRAKE Dho / Ed 517-887-4361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2022-04-28 |